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psnet.ahrq.gov/issue/paramedic-intubation-errors-isolated-events-or-symptoms-larger-problems
February 18, 2009 - Study
Paramedic intubation errors: isolated events or symptoms of larger problems?
Citation Text:
Wang HE, Lave J, Sirio CA, et al. Paramedic intubation errors: isolated events or symptoms of larger problems? Health Aff (Millwood). 2006;25(2):501-9.
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psnet.ahrq.gov/issue/safety-stop-valuable-addition-pediatric-universal-protocol
June 21, 2015 - Commentary
Safety stop: a valuable addition to the pediatric universal protocol.
Citation Text:
Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015.
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psnet.ahrq.gov/issue/multicentre-observational-study-evaluate-new-tool-assess-emergency-physicians-non-technical
December 12, 2012 - Study
A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills.
Citation Text:
Flowerdew L, Gaunt A, Spedding J, et al. A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills. Em…
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psnet.ahrq.gov/issue/random-safety-auditing-root-cause-analysis-failure-mode-and-effects-analysis
April 11, 2011 - Commentary
Random safety auditing, root cause analysis, failure mode and effects analysis.
Citation Text:
Ursprung R, Gray J. Random Safety Auditing, Root Cause Analysis, Failure Mode and Effects Analysis. Clin Perinatol. 2010;37(1). doi:10.1016/j.clp.2010.01.008.
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psnet.ahrq.gov/issue/barriers-incident-notification-regional-prehospital-setting
December 21, 2022 - Study
Barriers to incident notification in a regional prehospital setting.
Citation Text:
Jennings PA, Stella J. Barriers to incident notification in a regional prehospital setting. Emerg Med J. 2011;28(6):526-9. doi:10.1136/emj.2010.090738.
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psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped
February 07, 2018 - Commentary
Is WHO's surgical safety checklist being hyped?
Citation Text:
Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ. 2019;366:l4700. doi:10.1136/bmj.l4700.
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psnet.ahrq.gov/issue/how-we-cut-drug-errors
August 19, 2020 - Newspaper/Magazine Article
How we cut drug errors.
Citation Text:
Nicol N, Huminski L. How we cut drug errors. At one hospital, IT and changed culture saves lives. Modern healthcare. 2006;36(34):38.
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psnet.ahrq.gov/issue/associations-between-negative-patient-safety-climate-and-infection-prevention-practices
May 10, 2023 - Study
Associations between negative patient safety climate and infection prevention practices.
Citation Text:
Johnson CT, Hessels AJ. Associations between negative patient safety climate and infection prevention practices. Am J Infect Control. 2024;52(9):1102-1104. doi:10.1016/j.ajic.202…
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psnet.ahrq.gov/issue/living-will-misinterpreted-dnr-order-confusion-compromises-patient-care
September 11, 2019 - Commentary
A living will misinterpreted as a DNR order: confusion compromises patient care.
Citation Text:
Katsetos AD, Mirarchi FL. A living will misinterpreted as a DNR order: confusion compromises patient care. J Emerg Med. 2011;40(6):629-32. doi:10.1016/j.jemermed.2008.11.014.
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psnet.ahrq.gov/issue/rural-inpatient-telepharmacy-consultation-demonstration-after-hours-medication-review
January 23, 2017 - Study
Rural inpatient telepharmacy consultation demonstration for after-hours medication review.
Citation Text:
Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/…
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psnet.ahrq.gov/issue/daily-dose-communication-improve-quality-and-safety-outcomes
September 15, 2009 - Review
A daily dose of communication to improve quality and safety outcomes.
Citation Text:
Halm MA. A daily dose of communication to improve quality and safety outcomes. Am J Crit Care. 2024;33(4):305-310. doi:10.4037/ajcc2024318.
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psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy
March 22, 2011 - Study
The use of human factors methods to identify and mitigate safety issues in radiation therapy.
Citation Text:
Chan AJ, Islam MK, Rosewall T, et al. The use of human factors methods to identify and mitigate safety issues in radiation therapy. Radiother Oncol. 2010;97(3):596-600. do…
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psnet.ahrq.gov/issue/perceptions-medical-errors-cancer-care-analysis-how-news-media-describe-sentinel-events
September 11, 2013 - Study
Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events.
Citation Text:
Li JW, Morway L, Velasquez A, et al. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. J Patient Saf. 201…
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psnet.ahrq.gov/issue/duke-surgery-patient-safety-open-source-application-anonymous-reporting-adverse-and-near-miss
February 15, 2011 - Commentary
Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events.
Citation Text:
Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-mi…
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psnet.ahrq.gov/issue/radiation-protection-and-dose-monitoring-medical-imaging-journey-awareness-through
May 18, 2022 - Review
Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive?
Citation Text:
Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patien…
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psnet.ahrq.gov/issue/how-deal-disruptive-physician-behavior
December 02, 2020 - Commentary
How to "DEAL" with disruptive physician behavior.
Citation Text:
Junga Z, Tritsch A, Singla M. How to “DEAL” With disruptive physician behavior. Gastroenterology. 2019;157(6):1469-1472. doi:10.1053/j.gastro.2019.10.021.
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psnet.ahrq.gov/issue/quality-and-safety-pediatric-anesthesia-how-can-guidelines-checklists-and-initiatives-improve
December 11, 2024 - Review
Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome?
Citation Text:
Hagerman NS, Varughese AM, Kurth D. Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome? Curr…
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psnet.ahrq.gov/issue/surgeons-dont-know-what-they-dont-know-about-safe-use-energy-surgery
April 05, 2017 - Study
Surgeons don't know what they don't know about the safe use of energy in surgery.
Citation Text:
Feldman LS, Fuchshuber PR, Jones DB, et al. Surgeons don't know what they don't know about the safe use of energy in surgery. Surg Endosc. 2012;26(10):2735-9.
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psnet.ahrq.gov/issue/does-training-human-patient-simulation-translate-improved-patient-safety-and-outcome
September 12, 2018 - Review
Does training with human patient simulation translate to improved patient safety and outcome?
Citation Text:
Shear TD, Greenberg SB, Tokarczyk A. Does training with human patient simulation translate to improved patient safety and outcome? Curr Opin Anaesthesiol. 2013;26(2):159-…
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psnet.ahrq.gov/issue/fear-covid-19-leads-other-patients-decline-critical-treatment
June 24, 2020 - Newspaper/Magazine Article
Fear of Covid-19 leads other patients to decline critical treatment.
Citation Text:
Hafner K. Fear of Covid-19 leads other patients to decline critical treatment. New York Times. 2020;May 25.
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